2 дня назад
RCM Accounts Receivable Specialist (Behavioral Health)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
RCM Accounts Receivable Specialist (Behavioral Health): Managing behavioral health claims, accounts receivable aging, denials, rejections, and provider billing inquiries with an accent on telehealth billing, payer policies, and interventional psychiatry. Focus on resolving complex claims, improving touchless claim rates with AI and Candid, and identifying workflow improvements across the revenue cycle.
Location: Remote, open to candidates anywhere in the United States
Company
is a San Francisco-based public benefit corporation providing psychiatry-focused EHR software, services, data solutions, and a clinician community to more than 1,000 independent psychiatry practices.
What you will do
- Manage the accounts receivable workflow, including claim submission holds, edits, rejections, denials, appeals, and 30/60/90+ day aging buckets.
- Prioritize high-value claims and resolve billing issues to improve cash flow and reduce the AR backlog.
- Partner directly with providers and practices to investigate denials, gather information, and prevent recurring issues.
- Answer claim-specific billing questions escalated by Customer Success, Implementation, and Account Management.
- Apply E&M, place-of-service, payer, and state-specific telehealth billing rules to determine appropriate billing actions.
- Identify automation and workflow improvements in Candid, support quality audits, and contribute to higher touchless claim rates.
Requirements
- At least 2 years of hands-on accounts receivable resolution experience, including denials, rejections, appeals, aging prioritization, and cash-flow optimization.
- Direct behavioral health billing experience with medication management visits, psychotherapy add-on codes, and mental-health telehealth claims.
- Experience with modern E&M billing, place-of-service rules, telehealth modifiers, and payer reimbursement policies.
- Experience using major payer portals such as Availity, Navinet, PayerCompass, or payer-specific portals.
- Daily practical use of AI tools such as Claude or Gemini.
- Must be based in the United States, eligible to work in the US without sponsorship, and able to work as a W-2 employee.
Nice to have
- Candid Health experience.
- Interventional psychiatry billing experience with Spravato, TMS, ketamine, or comparable high-acuity behavioral health services.
- Experience with Notion, Slack, or Pylon.
- Documented startup or scale-up experience.
Culture & Benefits
- Remote, full-time W-2 employment.
- Fast-moving startup environment with changing priorities and workload.
- Direct, open communication and an expectation of raising blockers quickly.
- Work with an industry-leading revenue cycle platform and a modern AI-native technology stack.
Hiring process
- Complete seven short application questions: five multiple-choice or checkbox questions and two short written responses.
- Initial responses are reviewed for specific examples and problem-solving communication, with deeper discussion during the first conversation.
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